Individual
GLENIS AFUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
10907 ELON DR, BOWIE, MD 20720-3506
(240) 360-6430
Mailing address
10907 ELON DR, BOWIE, MD 20720-3506
(240) 360-6430
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12509
DC
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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